Basic Information
Provider Information
NPI: 1912432030
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINLAN
FirstName: VALERIE
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: MSN, NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MISKELL
OtherFirstName: VALERIE
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 6111 OAK TREE BLVD
Address2: STE 301
City: INDEPENDENCE
State: OH
PostalCode: 441312585
CountryCode: US
TelephoneNumber: 6103782000
FaxNumber: 6103782799
Practice Location
Address1: 805 N RICHMOND ST
Address2:  
City: FLEETWOOD
State: PA
PostalCode: 195221058
CountryCode: US
TelephoneNumber: 6109440464
FaxNumber: 6109449733
Other Information
ProviderEnumerationDate: 04/26/2017
LastUpdateDate: 01/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XSP017409PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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